RT Journal Article SR Electronic T1 The Nurse Advocate in End-of-Life Care JF Ochsner Journal JO Ochsner J FD O. P. Jindal Global University SP 325 OP 329 VO 11 IS 4 A1 Kathy Hebert A1 Harold Moore A1 Joan Rooney YR 2011 UL http://www.ochsnerjournal.org/content/11/4/325.abstract AB End-of-life nursing encompasses many aspects of care: pain and symptom management, culturally sensitive practices, assisting patients and their families through the death and dying process, and ethical decisionmaking. Advocacy has been identified as a key core competency for the professional nurse, yet the literature reveals relevant barriers to acquiring this skill. Challenges exist, such as limitations in nursing school curricula on the death and dying process, particularly in multicultural settings; differing policies and practices in healthcare systems; and various interpretations of end-of-life legal language. Patricia Benner's conceptual model of advocacy behaviors in end-of-life nursing provides the framework in which nurses can become effective patient advocates. Developing active listening and effective communication skills can enhance the nurse-patient trust relationship and create a healing environment.